Kua whakapae tō tākuta kei te raru tō repe prostate, ā, kua kī atu me whai koiora koe (he wahi kiko iti ka tangohia, ka tirohia mā te whakamahi i te matawai MRI) kia tino mōhio ai koe? He mea noa te mataku me te manukanuka ina rongo koe i tētahi mea pēnei. Engari ina mōhio koe ki te tikanga o tēnei whakamātautau, me pēhea te mahi, me pēhea te whakarite mōna, ka memeha haere tō mataku. Me kōrero noa tātou mō tēnei.
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Tuatahi, kia titiro tātou, he aha tēnei koiora repeure e arahina ana e te MRI?
He whakarāpopototanga noa iho tēnei, he whakamātautau motuhake tēnei hei kite i te matepukupuku repeure, mēnā koinā, kia kitea ai tōna taumata, me te whakamahere maimoatanga. Ko te tikanga o tēnei ko te tango i ngā tauira kiko iti rawa mai i tō repeure mā te whakamahi i te hangarau MRI me te ultrasound, e whakarato ana i ngā whakaahua tino mārama . Kātahi ka tirotirohia e te tohunga mate ēnei tauira kiko i raro i te karuārai hei whakatau mēnā kei roto i a rātou ngā pūtau matepukupuku.
He aha te repe prostate?
Ko tō repeure he wāhanga o tō pūnaha whakaputa uri me te mimi tāne. He repe rite te rahi ki te nati wōnati kei mua i tō pūhā. Ka hangaia e ia he wai purapura, arā, te wai e konatunatua ana ki te parāoa ina puta mai tō parāoa. Ka āwhina tēnei wai ki te pupuri i te hauora o te parāoa, ā, ka āwhina hoki i a koe kia hapu.
Ka rere tō urethra mā roto i te repe prostate. Ina mimi koe, ka puta te mimi mai i te pūkahukahu mā roto i te ure, ā, ina puta te purapura, ka puta te purapura mā roto i tēnei ngongo.
He aha ngā tikanga hei whakahaere i tēnei koiora?
E rua ngā tikanga matua mō te tiki tauira kiko mai i te repeure. Mā tō tākuta koe e whakamārama ko tēhea tikanga te mea pai mō tō āhuatanga.
| Tikanga koiora | He whakamārama māmā mō te mahi |
|---|---|
| Te Kohikohi Transrectal | I tēnei tikanga, ka kohia he tauira kiko mā te whakauru i tētahi taputapu motuhake mā roto i tōu tōku, kātahi ka tukuna he ngira mā roto. |
| Te Kohikohi Transperineal | I tēnei tikanga, ka tangohia he tauira kiko mā te werohanga i tētahi ngira mā te kiri (perineum) i waenganui i tō nono me tō kiri papatahi. |
Kia ako tātou mō ētahi atu hangarau matatau ake.
I ēnei rā, e whakamahia ana ngā hangarau matatau hei whakapai ake i te tika o tēnei whakamātautau.
- MRI Maha-taurite (mpMRI): He tikanga MRI tairongo ake, he matatau ake hoki tēnei i te MRI paerewa. Ka taea e ia te kite i ngā huringa mate pukupuku i roto i te repe prostate me te mārama ake i te MRI paerewa. Heoi, kāore e taea e te mpMRI anake te tino mohio kāore he mate pukupuku. Nō reira, he maha ngā wā e hiahiatia ana he koiora.
- Ko te koiora repeure e ārahihia ana e te whakakotahitanga: He tikanga tino whakamere tēnei. Kei roto ko te "whakakotahi" i ngā whakaahua MRI me ngā whakaahua ultrasound (TRUS - Transrectal Ultrasound) hei hanga i tētahi whakaahua kotahi. Tuatahi ka whiwhi koe i tētahi MRI. Kātahi, i te wā o te koiora, ka whakamahia e te tākuta he pūmanawa motuhake hei whakakotahi i ngā whakaahua MRI me ngā whakaahua ultrasound i tangohia i te wā kotahi. Mā tēnei ka taea e te tākuta te arotahi tika ki ngā wāhi whakapae o te repeure me te tango tauira kiko.
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Check Availability →He aha i tika ai te whakahaere i tētahi whakamātautau pēnei?
He maha ngā mea ka taea e ngā tākuta te whakaū mā roto i tēnei whakamātautau.
- Tātarihia tika mēnā he matepukupuku repeure tōu .
- Mena he mate pukupuku, whakatauhia tōna taumata/kaha .
- Tirohia mēnā kua hoki mai anō te mate pukupuku i muri i te maimoatanga o mua.
- I ētahi wā, ka taea te tautuhi me te whakakore i ētahi atu āhuatanga e rite ana ki ngā tohumate o te mate pukupuku engari ehara i te mate pukupuku (hei tauira, te nui haere o ngā repe, ngā mate pukupuku).
Ahakoa he nui ake te hua o te whakamātautau toto PSA, ehara i te mea he mate pukupuku. Tērā pea nā te nui haere o te repeure (BPH - Benign Prostatic Hyperplasia) nā te mate pāwera rānei (Prostatitis). Mā tēnei whakamātautau ka taea te wehewehe i waenga i ēnei āhuatanga.
Ko wai te hunga e hiahia ana ki tēnei whakamātautau i te nuinga o te wā?
He maha ngā āhuatanga ka tukuna pea koe e tō tākuta mō tēnei whakamātautau.
- Mena he teitei ake te taumata PSA (Prostate-Specific Antigen) i roto i tō toto i te mea noa.
- Mena ka kitea e te tākuta he puku, he wāhi mārō rānei i roto i te repe prostate i te wā o te whakamātautau matihiko rectum (DRE).
- Mena i whakaatuhia e te karapa MRI o mua tetahi mea whakapae .
- Mena ka piki tonu tō taumata PSA ahakoa te koiora i mahia me te ultrasound auau, kāore e kitea te mate pukupuku.
- Mena kua tāpaetia kētia koe kei te mate pukupuku repeure koe, ā, kei raro i te tirotiro mātātoa , kāore he maimoatanga.
Me pēhea te whakarite i mua i te whakamātautau?
He mea tino nui tēnei. Me whai tika koe i ngā tohutohu a te tākuta. Ko te tikanga, koinei te mea e tohutohuhia ana e rātou kia mahia e koe.
| Me aha? | He aha rā te take? |
|---|---|
| Pānui mō ngā taputapu whakarewa | Mena kei roto i tō tinana he taputapu whakatere manawa, he mea whakarewa rānei, pērā i te hononga horihori, kia mōhio koe ki te whakamōhio atu ki tō tākuta i mua i te MRI. |
| Te horoi i te koroni | I ētahi wā ka tonoa pea koe kia whakamahi i tētahi enema hei horoi i ō whekau i mua i te koiora. Kāore tēnei e hiahiatia ana i ngā wā katoa. |
| Te whakamutu i ētahi rongoā | Me mutu pea te tango i ngā rongoā whakaiti toto me ngā rongoā whakamamae pēnei i ngā NSAID mō ētahi rā e ai ki te whakahau a tō tākuta. Ka taea e ēnei te whakanui ake i te mōrearea o te toto. |
| Te tango i ngā paturopi | Hei whakaiti i te mōrearea o te mate, ka hoatu pea he paturopi hei tango i mua atu, i muri mai hoki i te whakamātautau. Kāore pea tēnei e hiahiatia nā te mea he iti ake te mōrearea o te mate mā te tikanga transperineal. |
He aha ngā mea ka tupu i te wā o te whakamātautau?
Me whai matawai MRI koe i te tuatahi. Tērā pea ka hoatu he wai motuhake (tae rerekē) mā roto i tētahi uaua i tō ringa kia mārama ake ai ngā whakaahua.
Ko te tikanga ka mahia te koiora i waho o te hōhipera. Ko te tikanga ka taea e koe te hoki ki te kāinga i taua rā anō. Ka werohia he rongoā whakamoe ā-rohe ki te rohe huri noa i te repe prostate. Mā tēnei ka āwhina i a koe kia iti ake te mamae. Tērā pea ka hoatu he rongoā whakamoe ngawari ki a koe hei āwhina i a koe kia marino. Nō reira, he pai ake kia whai tangata hei kawe i a koe ki te kāinga mēnā ka puta he raru.
I te nuinga o te wā ka tangohia e te tākuta te 12 ki te 16 tauira kiko mai i ngā wāhanga rerekē o te repeure. Tērā pea ka pēhia koe i tēnei wā, engari kaua e tino mamae.
He aha te mea hei tumanako atu i muri i te whakamātautau?
Ka taea e koe te hoki ki te kāinga i muri i ētahi haora. He mea noa ēnei mō ngā rā e whai ake nei.
- Tērā pea ka puta he toto me te mamae ngawari ki te wāhi i tangohia ai te koiora.
- Tērā pea he toto iti kei roto i tō mimi (hematuria) he purapura rānei (hematospermia) mō ētahi rā. He mea noa tēnei, kaua e manukanuka.
- Me tango e koe ngā paturopi kua tohua e te tākuta kia rite ki te whakahau .
Kia pēhea te roa ka mōhiotia ai ngā hua?
Ka tukuna te tauira kiko i tangohia mai i a koe ki tētahi taiwhanga. E hia pea te wiki , i ētahi wā he roa ake, kia puta ai ngā hua.
E toru ngā momo matua o ngā hua:
- Kino: Kāore i kitea he pūtau matepukupuku. Heoi, he tino onge, ka puta he hua kino teka, arā, ka ngaro te matepukupuku i te whakamātautau ahakoa kei te kitea. Mena kei te teitei tonu tō taumata PSA, ka tono pea tō tākuta kia whakamātauria anō koe i roto i ētahi marama.
- Pai: Kua kitea ngā pūtau matepukupuku. Ko te tikanga tēnei he matepukupuku repeure kei reira. Ka kōrero te tākuta ki a koe mō ngā mahi e whai ake nei, ngā kōwhiringa maimoatanga, te aroturukitanga rānei.
- Whakahē: He rerekē ngā hua, engari kāore i te tino mārama mēnā kei te kitea te mate pukupuku. I tēnei wā, me whakamātautau anō, me mahi anō rānei he koiora i roto i ētahi marama.
Me pēhea te ine i te kaha o te mate pukupuku?
Mena ka kitea ngā pūtau matepukupuku i roto i te whakamātautau, ka hoatu e te tohunga matepukupuku he māka mai i te 1 ki te 5 i runga i tō rātou āhua. Kātahi ka tāpirihia ngā māka e rua e tino kitea ana kia puta he uara e kiia nei ko te kaute Gleason (tērā pea kei waenganui i te 6 ki te 10). Ko ngā matepukupuku he nui te kaute Gleason (hei tauira, 8, 9, 10) ka nui ake te tūponotanga ki te horapa (metastasize) i ngā matepukupuku he iti te kaute (hei tauira, 6). Ka taea e tēnei kaute te āwhina i tō tākuta ki te whiriwhiri i te maimoatanga pai rawa atu māu.
Āhea koe me toro atu ki te tākuta
Ki te puta mai ngā tohu o te mate urutā i muri i te tango i te kiko o te pūtau, pērā i te kirika me te makariri , me waea atu tonu koe ki tō tākuta.
Waihoki, ki te mau tonu, ki te kino rānei ngā tohu e whai ake nei, me rapu tohutohu hauora koe.
- Te aroaro o te toto i roto i te mimi, i te purapura rānei.
- Te ngoikore o te ure.
- Te hiahia tonu ki te mimi i te pō (nocturia).
- Te mamae i te wā e mimi ana, e puta mai ana rānei.
- He uaua ki te whakahaere i te mimi, he ngoikore, he mutu rānei te rere o te mimi.
Karere Tangohia ki te Kāinga
- He whakamātautau tino tika, matatau hoki te koiora repeure e arahina ana e te MRI hei tautuhi i te matepukupuku repeure.
- Tērā pea ka tūtohutia tēnei whakamātautau mēnā he teitei ake tō taumata PSA, mēnā rānei ka kitea he puku i te wā o te whakamātautau DRE.
- He mea tino nui kia whai i ngā tohutohu a te tākuta (pēnei i te whakamutu i te rongoā, te tango i ngā paturopi) i mua tonu i te whakamātautau.
- He mea noa te kite i te toto iti i roto i tō mimi me tō purapura mō ētahi rā i muri i te whakamātautau, nō reira kaua e manukanuka.
- Ki te puta mai ngā tohu o te mate pēnei i te kirika me te makariri, rapua tonutia he tohutohu hauora.
- Ahakoa he aha ngā hua, kōrerotia marietia ki tō tākuta, ka whakatau i ngā mahi ka whai ake.
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